Observational studyThe Journal of international medical research2020
Risk factors associated with symptoms of post-extubation upper airway obstruction in the emergency setting.
Observational study in The Journal of international medical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- [Clinical Study on Early Extubation and Sequential Non-Invasive Respiratory Support for Children with Acute Respiratory Failure Receiving Invasive Mechanical Ventilation].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022Trial
- Exploration of tracheal tube contact pressure and simplified risk indicators for postoperative laryngopharyngeal discomfort: a prospective pilot study.Anaesthesiology intensive therapy · 2026Observational
- Oropharyngeal ultrafast ultrasound measurements in mechanically ventilated critically ill patients do not identify post-extubation stridor.Critical care (London, England) · 2025Observational
- Effect of intravenous and intra-cuff magnesium sulphate on post-extubation tracheal morbidity: a randomised single-blind study.Journal of anesthesia, analgesia and critical care · 2025Article
- Article
- Extubation outcomes in critically ill post-craniotomy patients: A retrospective cohort study.PloS one · 2025Article
- Prevalence and risk factors of postoperative laryngeal edema in patients undergoing neck dissection.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024Article
- Risk factor evaluation of cuff pressure of >30 cmHNursing open · 2024Observational
- Study of postoperative laryngopharyngeal discomfort: protocol for a single-centre cohort study.BMJ open · 2024Article
- Getting the dose right using physiologically-based pharmacokinetic modeling: dexamethasone to prevent post-extubation stridor in children as proof of concept.Frontiers in pediatrics · 2024Article
- Analysis of Risk Factors for Tracheal Stenosis Managed during COVID-19 Pandemic: A Retrospective, Case-Control Study from Two European Referral Centre.Journal of personalized medicine · 2023Article
- Tracheal stenosis following tracheotomy in a COVID-19 patient.Respirology case reports · 2023Article
- Temporary tracheotomy for post-intubation laryngeal edema after lung cancer surgery: a case report.Journal of cardiothoracic surgery · 2023Article
- Factors associated with extubation failure in an intensive care unit: a case-control study.Revista latino-americana de enfermagem · 2023Article
- Association between post-extubation upper airway obstruction symptoms and airway size measured by computed tomography: a single-center observational study.BMC emergency medicine · 2022Observational
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivePost-extubation stridor and hoarseness are important clinical manifestations that indicate laryngeal edema due to intubation. In previous studies the incidence of post-extubation stridor and hoarseness ranged from 1.5% to 26.3% in postoperative patients and patients in the intensive care unit. Female sex and prolonged intubation are reportedly risk factors for post-extubation stridor. However, the risk factors for post-extubation stridor and the appropriate endotracheal tube size in emergency settings remain unknown. This study was performed to identify the risk factors for post-extubation laryngeal edema after emergency intubation.
methodsA prospective observational study was conducted in a tertiary emergency medical center/trauma center. The primary outcome was post-extubation stridor and hoarseness.
resultsDuring the study period, 482 emergency intubations and 227 extubations were performed in adult patients. In total, 29% of the patients presented symptoms of stridor and/or hoarseness. Female sex (odds ratio, 2.65; 95% confidence interval, 1.21-5.81) and the duration of intubation (odds ratio, 1.18; 95% confidence interval, 1.05-1.32) were associated with stridor and/or hoarseness.
conclusionsPatients who undergo emergency intubation have a higher risk of post-extubation upper airway obstruction symptoms than postoperative patients and patients in the intensive care unit, and female sex is associated with these symptoms.
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